ECTOPIC PREGNANCY

Question 1

RISK FACTORS OF ECTOPIC PREGNANCY

Answer 1

PID
Previous history of ectopic pregnancy
Previous tubal or pelvic surgery
Congenital tubal diverticula
Abnormally long Fallopian tube

Question 2

CLINICAL PRESENTATION OF UNRUPTURED ECTOPIC PREGNANCY

Answer 2

Amenorrhea
Positive Pregnancy Test
Empty Uterus with a complex adnexal mass (Pelvic Ultrasound)

Question 3

CLINICAL PRESENTATION OF RUPTURED ECTOPIC PREGNANCY

Answer 3

Amenorrhea
Bleeding per vaginum
Abdominal pain or tenderness
Unilateral adnexal mass with tenderness
Full abdomen if haemoperitoneum occurs
Bloody POD from haemoperitoneum
Palor and signs of shock

Question 4

CLINICAL PRESENTATION OF CHRONIC LEAKING ECTOPIC PREGNANCY

Answer 4

Amenorrhea
Spotting per vaginum
Recurrent lower Abdominal pain
Ultrasound may show an unilateral adnexal mass with small haemoperitoneum

Question 5

Differential diagnosis of Ectopic Pregnancy

Answer 5

PID
Appendicitis
Threatened abortion
Ruptured corpus leutem
Endometriosis

Question 6

Investigations of ectopic pregnancy

Answer 6

CBC: reduced depending on blood loss
SERUM hcG: increased
USG: gs with fetal poles w/Wo pulsations
Culdocentesis: blood in aspirate is +ve test
Laparoscopy: to confirm diagnosis

Question 7

RUPTURED ECTOPIC PREGNANCY TXT

Answer 7

1. Resuscitate w IV fluids
2. Prepare for Laparascopy/Laparatomt
3. Do Salpingectomy for tubal pregnancy
4. Wedge resection and cornual repair
5. Auto-transfusion